Skip to main content

A systematic quality appraisal of clinical practice guidelines for Ménière’s disease using the AGREE II instrument

Abstract

Purpose

To systematically appraise clinical practice guidelines for the diagnosis and treatment of Ménière’s disease using the Appraisal of Guidelines for Research and Evaluation (AGREE II) instrument.

Materials and methods

A systematic literature search was performed to identify guidelines pertaining to the diagnosis and treatment of Ménière’s disease. Data were abstracted from guidelines that met inclusion criteria and appraised by four independent reviewers in the six domains of quality defined by the AGREE II. Domain scores reflecting quality in each domain were calculated. Intraclass correlation coefficients (ICC) were calculated across domains to qualify interrater reliability.

Results

Six guidelines were found to meet inclusion criteria after a systematic literature search. Of the six clinical practice guidelines appraised using the AGREE II, the American Academy of Otolaryngology-Head and Neck Surgery (AAO-HNS) guideline received the highest average score, with a mean of 90.7% spanning six quality domains. The guideline with the lowest average score across all domains was the European Position Statement on diagnosis and treatment of Ménière’s disease, receiving an average score across domains of 34.6%. Overall quality scores of clinical practice guidelines for Ménière’s disease had a standard deviation of 21.3%. Two guidelines met the quality threshold of > 60% in at least five domains, qualifying as ‘high’: AAO-HNS and National Institute for Health and Care Excellence. Average ICC across all six domains was 0.87, suggesting near total agreement between reviewers.

Conclusion

Ménière’s disease remains a challenging entity to diagnose and treat; few existing clinical guidelines meet the standards of quality established by the AGREE II appraisal instrument.

This is a preview of subscription content, access via your institution.

Fig. 1

References

  1. 1.

    Sajjadi H, Paparella MM (2008) Meniere’s disease. Lancet 372(9636):406–414

    Article  Google Scholar 

  2. 2.

    Basura GJ et al (2020) Clinical practice guideline: Ménière’s disease. Otolaryngol Head Neck Surg 162(2_suppl):S1–S55

    Article  Google Scholar 

  3. 3.

    Harcourt J, Barraclough K, Bronstein AM (2014) Meniere’s disease. BMJ. https://doi.org/10.1136/bmj.g6544

    Article  PubMed  Google Scholar 

  4. 4.

    Clyde JW, Oberman BS, Isildak H (2017) Current management practices in Meniere’s disease. Otol Neurotol 38(6):e159–e167

    Article  Google Scholar 

  5. 5.

    Paparella MM, Djalilian HR (2002) Etiology, pathophysiology of symptoms, and pathogenesis of Meniere’s disease. Otolaryngol Clin North Am 35(3):529–545

    Article  Google Scholar 

  6. 6.

    Paparella MM (1985) The cause (multifactorial inheritance) and pathogenesis (endolymphatic malabsorption) of Meniere’s disease and its symptoms (mechanical and chemical). Acta Otolaryngol 99(3–4):445–451

    CAS  Article  Google Scholar 

  7. 7.

    Cohen H, Ewell LR, Jenkins HA (1995) Disability in Meniere’s disease. Arch Otolaryngol Head Neck Surg 121(1):29–33

    CAS  Article  Google Scholar 

  8. 8.

    Boleas-Aguirre MS, Sánchez-Ferrandiz N, Guillén-Grima F, Perez N (2007) Long-term disability of class A patients with Meniere’s disease after treatment with intratympanic gentamicin. Laryngoscope 117(8):1474–1481

    CAS  Article  Google Scholar 

  9. 9.

    Perez-Carpena P, Lopez-Escamez JA (2020) Current understanding and clinical management of Meniere’s disease: a systematic review. Semin Neurol 40(01):138–150

    Article  Google Scholar 

  10. 10.

    Altman F (1943) Histological findings in Meniere’s symptom complex. Ann Otol Rhinol Laryngol 52:52–80

    Google Scholar 

  11. 11.

    Nakashima T et al (2016) Meniere’s disease. Nat Rev Dis Primers 2(1):1–18

    Article  Google Scholar 

  12. 12.

    Kimura RS (1967) LII experimental blockage of the endolymphatic DUCT and SAC and ITS effect on the inner ear of the guinea pig: a study on endolymphatic hydrops. Ann Otol Rhinol Laryngol 76(3):664–687

    CAS  Article  Google Scholar 

  13. 13.

    Zechner G, Altmann F (1969) Histological studies on the human endolymphatic duct and sac. ORL 31(2):65–83

    CAS  Article  Google Scholar 

  14. 14.

    Ikeda M, Sando I (1984) Endolymphatic duct and sac in patients with Meniere’s disease: a temporal bone histopathological study. Ann Otol Rhinol Laryngol 93(6):540–546

    CAS  Article  Google Scholar 

  15. 15.

    Sando I, Ikeda M (1984) The vestibular aqueduct in patients with Meniere’s disease: a temporal bone histopathological investigation. Acta Otolaryngol 97(5–6):558–570

    CAS  Article  Google Scholar 

  16. 16.

    Nevoux J, Barbara M, Dornhoffer J, Gibson W, Kitahara T, Darrouzet V (2018) International consensus (ICON) on treatment of Ménière’s disease. Eur Ann Otorhinolaryngol Head Neck Dis 135(1):S29–S32

    CAS  Article  Google Scholar 

  17. 17.

    Iwasaki S et al (2021) Diagnostic and therapeutic strategies for Meniere’s disease of the Japan Society for Equilibrium Research. Auris Nasus Larynx 48(1):15–22

    Article  Google Scholar 

  18. 18.

    Nevoux J et al (2017) Diagnostic and therapeutic strategy in Menière’s disease. Guidelines of the French Otorhinolaryngology-Head and Neck Surgery Society (SFORL). Eur Ann Otorhinolaryngol Head Neck Dis 134(6):441–444

    CAS  Article  Google Scholar 

  19. 19.

    Magnan J et al (2018) European position statement on diagnosis, and treatment of Meniere’s disease. The journal of international advanced otology 14(2):317

    Article  Google Scholar 

  20. 20.

    NICE (2021) Meniere’s disease. https://cks.nice.org.uk/topics/menieres-disease/. Accessed 12 Jan 2021

  21. 21.

    Vlayen J, Aertgeerts B, Hannes K, Sermeus W, Ramaekers D (2005) A systematic review of appraisal tools for clinical practice guidelines: multiple similarities and one common deficit. Int J Qual Health Care 17(3):235–242

    Article  Google Scholar 

  22. 22.

    Chorath K, Garza L, Tarriela A, Luu N, Rajasekaran K, Moreira A (2021) Clinical practice guidelines on newborn hearing screening: a systematic quality appraisal using the AGREE II instrument. Int J Pediatr Otorhinolaryngol. https://doi.org/10.1016/j.ijporl.2020.110504

    Article  PubMed  Google Scholar 

  23. 23.

    Chorath K, Prasad A, Luu N, Go B, Moreira A, Rajasekaran K (2021) Critical review of clinical practice guidelines for evaluation of neck mass in adults. Braz J Otorhinolaryngol. https://doi.org/10.1016/j.bjorl.2021.03.005

    Article  PubMed  Google Scholar 

  24. 24.

    Luu NN, Chorath KT, May BR, Bhuiyan N, Moreira AG, Rajasekaran K (2021) Clinical practice guidelines in idiopathic facial paralysis: systematic review using the appraisal of guidelines for research and evaluation (AGREE II) instrument. J Neurol. https://doi.org/10.1007/s00415-020-10345-0

    Article  PubMed  Google Scholar 

  25. 25.

    Shin M et al (2021) Appraisal of clinical practice guidelines for the evaluation and management of neck masses in children. J Paediatr Child Health. https://doi.org/10.1111/jpc.15516

    Article  PubMed  Google Scholar 

  26. 26.

    Brouwers MC, Kerkvliet K, Spithoff K, AGREE Next Steps Consortium (2016) The AGREE reporting checklist: a tool to improve reporting of clinical practice guidelines. BMJ. https://doi.org/10.1136/bmj.i1152

    Article  PubMed  PubMed Central  Google Scholar 

  27. 27.

    Vallat R (2018) Pingouin: statistics in Python. J Open Source Softw 3(31):1026

    Article  Google Scholar 

  28. 28.

    Grill E, Strupp M, Müller M, Jahn K (2014) Health services utilization of patients with vertigo in primary care: a retrospective cohort study. J Neurol 261(8):1492–1498

    Article  Google Scholar 

  29. 29.

    Anwer MA, Al-Fahed OB, Arif SI, Amer YS, Titi MA, Al-Rukban MO (2018) Quality assessment of recent evidence-based clinical practice guidelines for management of type 2 diabetes mellitus in adults using the AGREE II instrument. J Eval Clin Pract 24(1):166–172

    Article  Google Scholar 

  30. 30.

    Ciorba A, Skarżyński PH, Corazzi V, Bianchini C, Aimoni C, Hatzopoulos S (2017) Assessment tools for use in patients with Meniere disease: an update. Med Sci Monit 23:6144

    Article  Google Scholar 

  31. 31.

    James A, Burton MJ (2001) Betahistine for Meniere’s disease or syndrome. Cochrane Database Syst Rev. https://doi.org/10.1002/14651858.CD001873

    Article  PubMed  PubMed Central  Google Scholar 

Download references

Funding

This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.

Author information

Affiliations

Authors

Corresponding author

Correspondence to Karthik Rajasekaran.

Ethics declarations

Conflict of interest

All authors declare no competing interests.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and Permissions

About this article

Verify currency and authenticity via CrossMark

Cite this article

Barrette, LX., Xu, K., Suresh, N. et al. A systematic quality appraisal of clinical practice guidelines for Ménière’s disease using the AGREE II instrument. Eur Arch Otorhinolaryngol (2021). https://doi.org/10.1007/s00405-021-07099-4

Download citation

Keywords

  • AGREE II
  • Ménière’s disease
  • Clinical practice guidelines